Stucker, Darren Paul

Stucker, Darren Paul is an individual health care provider with primary practice located at 3201 University Dr E Ste 425 , Bryan TX 77802-3479. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Stucker, Darren Paul can be contacted via phone (979) 207-7400.

Contact Information

Primary practice address
3201 University Dr E Ste 425 Bryan TX 77802-3479
Fax: (979) 207-7401
Website:

Profile Details

NPI number 1083293534
LBN Legal business name Stucker, Darren Paul
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2021
Last updated Mar 20th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083293534 NPPES
Texas Other Q00259715 RR MEDICARE
Texas MEDICAID 425729701 RR MEDICARE

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